| NPI | 1649580069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NJ 44SC05630400) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NJ L03401537551862) |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2024-02-28 |