| NPI | 1366675365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 105199) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 296896) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2018-10-31 |