| NPI | 1841524634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 28482) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW6073) |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2022-11-15 |