| NPI | 1255640272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 075669) |
| Additional Taxonomies | 1041S0200X Social Worker School (Licence: NY PROVISIONAL CERT.) |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2010-09-27 |