| NPI | 1477740918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 4612) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 23765) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2020-02-28 |