NPI | 1962059824 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05986900) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 088131) |
Enumeration Date | 2019-08-24 |
Last Update Date | 2021-05-05 |