| NPI | 1073617759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TN LSW0000003204) |
| Additional Taxonomies | 104100000X Social Worker (Licence: VA 0904003737) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2007-07-08 |