| NPI | 1063286672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 21239) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PR 15788) |
| Enumeration Date | 2023-11-14 |
| Last Update Date | 2023-11-14 |