| NPI | 1780521120 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 127907) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL07330800) |
| Enumeration Date | 2026-05-04 |
| Last Update Date | 2026-05-04 |