| NPI | 1659385839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 7665-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 20196) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2021-03-10 |