NPI | 1861869315 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 24174) |
Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06112300) |
Enumeration Date | 2015-08-31 |
Last Update Date | 2019-09-25 |