| NPI | 1528454899 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 104100000X Social Worker (Licence: MO 2014005382)  | 
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 7065)  | 
| Enumeration Date | 2015-04-13 | 
| Last Update Date | 2015-04-13 |