| NPI | 1962659904 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 104100000X Social Worker (Licence: AR LCSW 1952-C)  | 
| Additional Taxonomies | 104100000X Social Worker (Licence: HI LSW-1680)  | 
| Enumeration Date | 2008-08-21 | 
| Last Update Date | 2010-06-15 |