| NPI | 1255767711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OR L5557) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MN 33255) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2025-07-07 |