| NPI | 1801285978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 117210) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 296210) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2022-09-08 |