| NPI | 1396467700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IA 077793) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 3373) |
| 104100000X Social Worker (Licence: MN 76177) | |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2022-09-13 |