| NPI | 1053706770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 090056) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 091042-1) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2021-01-29 |