| NPI | 1275941775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MN 32064) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 102830) |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2024-07-04 |