| NPI | 1790503860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 099802-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06942000) |
| Enumeration Date | 2024-09-28 |
| Last Update Date | 2024-09-28 |