| NPI | 1215319157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 24429) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN AP15-970) |
| Enumeration Date | 2015-06-28 |
| Last Update Date | 2023-12-28 |