| NPI | 1740668763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 093872-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 66329) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2022-12-15 |