| NPI | 1447876479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: 348749827) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker (Licence: NY 5423431) | |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2020-06-25 |