| NPI | 1083919765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MO 2010015991) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 3242) |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2011-01-11 |