| NPI | 1154080398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NJ 44SC06098200) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06504700) |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2022-07-07 |