| NPI | 1164081162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 23224) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 8876-123) |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2024-02-01 |