| NPI | 1700031648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 79259) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 31592) |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2023-04-28 |