| NPI | 1417316001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 5301) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ND 5301) |
| 104100000X Social Worker (Licence: MN 25046) | |
| 1041C0700X Social Worker, Clinical (Licence: MN 25046) | |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2025-06-16 |