| NPI | 1407036478 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 104100000X Social Worker (Licence: MD 10860) | 
| Additional Taxonomies | 104100000X Social Worker (Licence: DC LC3000766) | 
| Enumeration Date | 2007-11-07 | 
| Last Update Date | 2020-02-12 |