| NPI | 1003898990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 7597-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 6559) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2018-03-20 |