| NPI | 1679009799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: SC 12119) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06089500) |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2017-05-10 |