| NPI | 1801132097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 374611) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 055863-1) |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2012-12-17 |