| NPI | 1548536097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 8664-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 19718) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2024-05-15 |