| NPI | 1295241974 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 101470) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 000850) |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2024-07-29 |