| NPI | 1235416298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MN 19805) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 19805) |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2025-02-28 |