| NPI | 1548856529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CT 4169) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 224768) |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2021-11-03 |