| NPI | 1720213051 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 078238-1)  | 
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 215690)  | 
| Enumeration Date | 2009-05-15 | 
| Last Update Date | 2011-09-07 |