| NPI | 1528548807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 105746) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY P12170) |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2019-11-05 |