| NPI | 1063255263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 123589) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 10042) |
| Enumeration Date | 2024-06-15 |
| Last Update Date | 2024-06-15 |