| NPI | 1912205576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C016561) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 19523) |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2024-05-24 |