| NPI | 1639588437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 072155) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 23722) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2024-03-06 |