| NPI | 1336690700 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 104100000X Social Worker (Licence: ID LMSW35537) | 
| Additional Taxonomies | 104100000X Social Worker (Licence: VA LSW0903002322) | 
| 104100000X Social Worker (Licence: NY LMSW095250) | |
| Enumeration Date | 2016-10-20 | 
| Last Update Date | 2016-10-20 |