NPI | 1891116752 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 33sc05647700) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 083138) |
Enumeration Date | 2013-12-19 |
Last Update Date | 2019-01-03 |