| NPI | 1508276411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 090701-1) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: NY 090701-1) |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2014-12-16 |