| NPI | 1912364712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 094528-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL07332300) |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2025-08-16 |