| NPI | 1184204539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 24171) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ND 4601) |
| Enumeration Date | 2021-04-10 |
| Last Update Date | 2022-03-18 |