| NPI | 1104192707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34006458A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 30639) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2025-10-15 |