| NPI | 1760710784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 11264) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ND 4829) |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2022-12-06 |