| NPI | 1942762117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CT 4569) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 104451) |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2020-07-27 |