| NPI | 1336728484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 5942) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 29767) |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2024-05-30 |