| NPI | 1629218607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 26653) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801090995) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2022-03-03 |