NPI | 1821443060 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 091087) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL06118900) |
Enumeration Date | 2016-04-25 |
Last Update Date | 2019-03-15 |