| NPI | 1750691259 |
|---|---|
| Former Name | BONNIE LYNN NORTHROP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: AZ LMSW 12819) |
| Additional Taxonomies | 104100000X Social Worker (Licence: 72058132) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-10-18 |