| NPI | 1063705093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 039160) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 2010940) |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2011-05-26 |