| NPI | 1851642334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 3725) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 17278) |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2012-09-25 |