| NPI | 1104278175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IA 085526) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 65620) |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2022-08-08 |