| NPI | 1609246677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 4408) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN 16371) |
| 104100000X Social Worker (Licence: ND 4408) | |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2017-11-02 |