| NPI | 1962259150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NJ 44SL07070500) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 120638) |
| Enumeration Date | 2024-05-04 |
| Last Update Date | 2024-05-04 |