| NPI | 1124348974 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 104100000X Social Worker (Licence: VT 089.0098673) | 
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 351083-3501) | 
| Enumeration Date | 2010-06-03 | 
| Last Update Date | 2017-02-10 |