| NPI | 1063018919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 6892) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 30388) |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2025-03-19 |