| NPI | 1114534211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NJ 44SL06594300) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NJ 1170465) |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |