| NPI | 1639495401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MA 217472) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OR M4970) |
| 104100000X Social Worker (Licence: OR A4970) | |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2022-07-21 |