NPI | 1891326211 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-19260) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc05870600) |
Enumeration Date | 2020-02-04 |
Last Update Date | 2022-12-02 |