| NPI | 1215524954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 110799) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06561000) |
| Enumeration Date | 2020-12-29 |
| Last Update Date | 2020-12-29 |