| NPI | 1689346942 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 104100000X Social Worker (Licence: MD 24697) | 
| Additional Taxonomies | 104100000X Social Worker (Licence: VA 0903002522) | 
| Enumeration Date | 2021-10-04 | 
| Last Update Date | 2021-11-01 |