| NPI | 1780119883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 097456) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 4022) |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2017-04-26 |