| NPI | 1629609029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: SC 12869) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 089112) |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-10-23 |