| NPI | 1972199941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 0859737) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 108774-01) |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2023-05-26 |