| NPI | 1104679067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: KY 258975) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 33011664A) |
| Enumeration Date | 2024-04-10 |
| Last Update Date | 2024-04-10 |