| NPI | 1528747359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 6613) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 26660) |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2024-10-15 |