| NPI | 1013947506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 29507) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 7077) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2021-09-29 |