| NPI | 1003063751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 21692) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ND 3977) |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2020-02-25 |