| NPI | 1720589096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 5978) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ND 5978) |
| 1041C0700X Social Worker, Clinical (Licence: MN 30293) | |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2023-01-17 |