| NPI | 1457729709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WI 9256) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MN 21227) |
| 1041C0700X Social Worker Clinical (Licence: MA 119254) | |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2019-08-14 |