| NPI | 1104109008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 084159-1) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NY 2161918) |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2011-09-27 |