| NPI | 1821059536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9415-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 13935) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2020-04-22 |