NPI | 1982266722 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0012035) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05871400) |
Enumeration Date | 2019-07-02 |
Last Update Date | 2023-08-24 |