| NPI | 1942372859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WI 9988-123) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MN 26748) |
| 1041C0700X Social Worker Clinical (Licence: IA 06212) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2022-08-08 |