| NPI | 1104608447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CO lsw.0009923366) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 107451) |
| Enumeration Date | 2023-10-20 |
| Last Update Date | 2023-10-20 |