| NPI | 1093033805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 15202) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 9097) |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2023-12-18 |