| NPI | 1003255324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 12377650-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 25733) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2021-08-21 |