| NPI | 1689900177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2021023237) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 19765) |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2024-11-19 |