| NPI | 1023503430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 26094) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 131138-121) |
| 104100000X Social Worker (Licence: MN 26094) | |
| 1041C0700X Social Worker, Clinical (Licence: WI 9422-123) | |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2020-09-02 |