| NPI | 1457716185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 8641394-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ND 5938) |
| 1041C0700X Social Worker, Clinical (Licence: MN 29004) | |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2020-07-14 |