| NPI | 1255539458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 3748) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 18081) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-10 |