| NPI | 1386024933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L15327) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 29274) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2025-01-27 |