| NPI | 1992223697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 3799) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN 11062) |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2021-05-20 |