| NPI | 1902489040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NJ 44SL07393900) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: CA F5340450) |
| 1041S0200X Social Worker, School (Licence: NJ 01724051) | |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NY 716767053) | |
| 1041S0200X Social Worker, School (Licence: NY 1933343251) | |
| 104100000X Social Worker (Licence: NY 126020) | |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2026-06-09 |