| NPI | 1477150019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 117571) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR temp) |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2023-05-03 |