| NPI | 1053748012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 095430) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 219848) |
| Enumeration Date | 2013-10-04 |
| Last Update Date | 2016-01-08 |