Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 44SC05297400 | NJ |
NPI | 1003098492 |
---|---|
Provider Name | Laura L. Shwahla |
First Address | Princeton, NJ 08540 |
Second Address | Princeton, NJ 08540-6250 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2007 |
Last Update Date | 25/05/2017 |