| NPI | 1568079713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 110864) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW137269) |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2021-01-04 |