| NPI | 1760984074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: AZ 11068) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 061322-1) |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2018-03-02 |