| NPI | 1396280954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 5293) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 23025) |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2022-07-21 |