| NPI | 1376061788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 113663) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 26813) |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2018-10-16 |