| NPI | 1063157469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CO 0009923624) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: CO 24379896) |
| Enumeration Date | 2022-04-29 |
| Last Update Date | 2022-04-29 |