| NPI | 1598354086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 108265-01) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: 108265-01) |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2021-01-15 |