| NPI | 1154404341 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 104100000X Social Worker (Licence: ID LCSW522) | 
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 1257103501) | 
| Enumeration Date | 2006-10-23 | 
| Last Update Date | 2007-07-08 |