| NPI | 1770887325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 18759) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI 3737) |
| Enumeration Date | 2010-12-22 |
| Last Update Date | 2021-11-16 |