| NPI | 1427315381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 19112) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 6502) |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2020-01-16 |