| NPI | 1467120253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 111909) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NY 111909) |
| Enumeration Date | 2021-09-06 |
| Last Update Date | 2021-09-06 |