NPI | 1902209000 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05645300) |
Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05787500) |
Enumeration Date | 2014-10-02 |
Last Update Date | 2022-07-21 |