| NPI | 1033589437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 21681) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 8724-123) |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2017-04-18 |