| NPI | 1255986493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 094967) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 013541) |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2025-08-23 |