NPI | 1831084656 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 126113-01) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL07120400) |
Enumeration Date | 2025-06-11 |
Last Update Date | 2025-06-11 |