| NPI | 1154744431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: SC 11536) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 090297) |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2016-08-19 |