| NPI | 1063055754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 067348-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05236200) |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2019-10-25 |