| NPI | 1679080907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 062459) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 062459) |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-01-09 |