| NPI | 1366811259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 20118) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN AP15-839) |
| 1041C0700X Social Worker, Clinical (Licence: MN 25590) | |
| 1041C0700X Social Worker, Clinical (Licence: WI 8964) | |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2024-01-18 |