| NPI | 1912735028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NJ 44SL06862600) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NJ 44SL06862600) |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2024-07-22 |