| NPI | 1760898779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 091865-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: VA 0903001891) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2021-06-15 |