| NPI | 1790153021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 093350-1) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NY 093350-1) |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2022-07-21 |