| 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 |