| NPI | 1164136958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 063318) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 6383) |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2023-01-06 |