| NPI | 1083454235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 134842121) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 33300) |
| Enumeration Date | 2024-05-27 |
| Last Update Date | 2024-05-27 |