| NPI | 1306212600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 104100000X Social Worker |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 386470710) | |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2020-12-29 |