| NPI | 1104007251 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 72050924)  | 
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NY 2120512)  | 
| Enumeration Date | 2007-11-16 | 
| Last Update Date | 2007-11-16 |