| NPI | 1053077917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: 105462-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 105461-01) |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2021-11-15 |