| NPI | 1871831230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 128655-121) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 8626) |
| 1041C0700X Social Worker, Clinical (Licence: MN 29189) | |
| Enumeration Date | 2013-01-19 |
| Last Update Date | 2023-06-09 |