| NPI | 1962694943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 13521) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ND 3125) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2017-07-05 |