| NPI | 1992229579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WI 9259-123) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MN 24074) |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2019-10-03 |