NPI | 1982009262 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc05733100) |
Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05907900) |
Enumeration Date | 2014-10-28 |
Last Update Date | 2021-07-29 |