| NPI | 1326924754 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NJ 44SL07451500) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 131750) |
| Enumeration Date | 2025-08-12 |
| Last Update Date | 2026-06-09 |