| NPI | 1699136234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 129439-121) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 23453) |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2016-03-09 |