| NPI | 1154665206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 33723) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 8438-123) |
| 104100000X Social Worker (Licence: WI 127801-121) | |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2024-09-09 |