| NPI | 1104097245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 129940) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PR 9453) |
| 104100000X Social Worker (Licence: TX 117172) | |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2025-12-11 |