| NPI | 1275016842 |
|---|---|
| Former Name | NANCY JEAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05811800) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NJ 903610) |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2024-06-05 |