NPI | 1841430592 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW016440) |
Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44S105449100) |
1041C0700X Social Worker, Clinical (Licence: NJ 44SC05452700) | |
Enumeration Date | 2009-02-20 |
Last Update Date | 2013-11-18 |