| NPI | 1093396970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 111378) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 5685) |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2021-04-21 |