| NPI | 1275525180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY R051293) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SC 7196) |
| 104100000X Social Worker (Licence: CO 29) | |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2007-11-08 |