NPI | 1750805347 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 23366) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 9560-123) |
Enumeration Date | 2017-07-26 |
Last Update Date | 2021-12-02 |