| NPI | 1083032072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 045924-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 0459241) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2017-03-09 |