| NPI | 1073918777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MN 27375) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO 0009920456) |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2019-03-20 |