| NPI | 1134550742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 22154) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 81780) |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2019-09-23 |