| NPI | 1356765143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 2596611) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 2596611) |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2018-05-11 |