| NPI | 1760716302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 082773-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 082822) |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2021-06-02 |