| NPI | 1134579139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 4437) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 21660) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2023-10-16 |