NPI | 1871616052 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00164800) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R0093511) |
Enumeration Date | 2007-04-10 |
Last Update Date | 2007-07-08 |