| NPI | 1639684574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 101651-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 101651-1) |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2020-11-11 |