| NPI | 1982660908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 2078) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 10370) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2020-01-02 |