| NPI | 1831452325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 23511) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L4938) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2021-10-04 |