| NPI | 1194102822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 25051) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ND 4836) |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2023-11-07 |