NPI | 1982218590 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05959800) |
Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06060700) |
Enumeration Date | 2020-09-01 |
Last Update Date | 2023-01-27 |