| NPI | 1174034615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NJ 44slo6222600) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SLO622600) |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2017-10-23 |