| NPI | 1780882944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 19635) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149008771) |
| 1041C0700X Social Worker, Clinical (Licence: WI 9526-123) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2021-12-02 |