| NPI | 1568518124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MA 112148) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY R0467171) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2007-07-08 |