NPI | 1790248185 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06038400) |
Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SC06038400) |
Enumeration Date | 2019-04-11 |
Last Update Date | 2022-05-26 |