| NPI | 1841589561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 4245) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 25665) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2019-10-16 |