| NPI | 1386305845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 6457) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 10126) |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2023-02-03 |