| NPI | 1801268073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 9151) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SD 3496) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2020-10-13 |