| NPI | 1770870800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: UT 8394164-3502) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW 13304) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2013-01-31 |