| NPI | 1609643550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MA 225421) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 114269) |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2023-12-11 |