| NPI | 1063775799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OR A3195) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 54067) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2016-02-25 |