| NPI | 1881521961 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 127217) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NY 2026202261) |
| 104100000X Social Worker (Licence: NY 44SL07394300) | |
| 1041S0200X Social Worker, School (Licence: NJ 01906797) | |
| Enumeration Date | 2026-05-05 |
| Last Update Date | 2026-05-08 |