| NPI | 1679208748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NJ 44SL06496800) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NJ 44SL06496800) |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2022-07-21 |