| NPI | 1003916149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 7336-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 18024) |
| 1041C0700X Social Worker, Clinical (Licence: MO 2005041020) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2021-12-08 |