| NPI | 1407629603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 111071) |
| Additional Taxonomies | 171W00000X Contractor (Licence: NY 111071) |
| 251B00000X Case Management (Licence: NY 111071) | |
| 251K00000X Public Health or Welfare (Licence: NY 111071) | |
| 261QR1100X Clinic/Center Research (Licence: NY 111071) | |
| Enumeration Date | 2023-10-31 |
| Last Update Date | 2023-11-01 |