| NPI | 1861901175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 5998) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 27694) |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2024-02-07 |