NPI | 1871883546 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06059200) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
104100000X Social Worker (Licence: NJ 44SL06440800) | |
Enumeration Date | 2011-04-14 |
Last Update Date | 2022-01-31 |