NPI | 1952065609 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 085881) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06355600) |
Enumeration Date | 2021-10-28 |
Last Update Date | 2025-04-29 |