| NPI | 1245945476 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 118385)  | 
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06887000)  | 
| Enumeration Date | 2023-01-23 | 
| Last Update Date | 2023-01-23 |