| NPI | 1215405063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 25617) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN 25617) |
| 104100000X Social Worker | |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2023-07-26 |