| NPI | 1013436955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 05273) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MN 19851) |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2020-11-23 |