NPI | 1134738594 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 33278) |
Additional Taxonomies | 104100000X Social Worker (Licence: WI 131963) |
1041C0700X Social Worker, Clinical (Licence: WI 10019123) | |
Enumeration Date | 2020-07-30 |
Last Update Date | 2025-03-27 |