| NPI | 1124421425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 28417) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 109926) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2023-02-09 |