| NPI | 1235374489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 4163) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN 18565) |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2025-12-12 |