| NPI | 1649656471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 100375-1) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NY 0) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2019-02-18 |