| NPI | 1477800456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 24373) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 128249-121) |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2022-03-09 |