| NPI | 1184974222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 5282) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 31422) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2023-03-23 |