| NPI | 1679650311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SD LCSWPIP2151) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN AP12-1006) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2024-10-11 |