| NPI | 1174204804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 28841) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN 28841) |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2024-12-12 |