| NPI | 1932697786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 5642) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 23856) |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2019-08-28 |