| NPI | 1104228477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CO CSW.09926272) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM B-07662) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2020-02-07 |