NPI | 1619637535 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: NY 113986) |
Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06728800) |
Enumeration Date | 2021-12-20 |
Last Update Date | 2021-12-20 |