NPI | 1851811764 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05991400) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 092415-01) |
Enumeration Date | 2017-06-21 |
Last Update Date | 2024-09-10 |