| NPI | 1831405117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 22172) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC60803220) |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2025-07-17 |