NPI | 1841487717 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 445C05316700) |
Additional Taxonomies | 174400000X Specialist (Licence: NJ 37LC00171000) |
Enumeration Date | 2007-09-25 |
Last Update Date | 2011-05-19 |