| NPI | 1013451848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 172A00000X Driver (Licence: NJ 453626582) |
| 171M00000X Case Manager/Care Coordinator | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2016-12-14 |