| NPI | 1306274311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 32043) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 121362) |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2023-05-24 |