| NPI | 1114572765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KY 254230) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN 11228) |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2019-08-08 |