NPI | 1841934668 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 089955-01) |
Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06630100) |
Enumeration Date | 2022-04-27 |
Last Update Date | 2022-04-27 |