| NPI | 1255597662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TX 50244) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 215089) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2012-01-06 |