| NPI | 1013308329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 29234) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 70479) |
| 1041C0700X Social Worker, Clinical (Licence: WI 9995123) | |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2022-08-05 |