| NPI | 1639683402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: SC 12300) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 097934) |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2018-05-08 |