| NPI | 1275699399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 20930) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 200303032195) |
| 1041C0700X Social Worker, Clinical (Licence: MN 32388) | |
| Enumeration Date | 2007-01-01 |
| Last Update Date | 2023-07-15 |