| NPI | 1558593152 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 104100000X Social Worker (Licence: SC 9258) | 
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW004798) | 
| Enumeration Date | 2009-08-14 | 
| Last Update Date | 2009-08-14 |