| NPI | 1154108504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NJ 44SL06977200) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 120217) |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-09-11 |