| NPI | 1871572727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MA 113320) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 006073) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2007-07-08 |