| NPI | 1215635370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MD 29581) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 117438) |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-02-20 |