| NPI | 1740634559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 20922-875) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 22387) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2021-06-24 |