| NPI | 1255844767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WI 7014-123) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MN 21083) |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2020-09-15 |