| NPI | 1710485164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 102684) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06293800) |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2018-01-30 |