NPI | 1245823574 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 31819) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
1041C0700X Social Worker, Clinical (Licence: LA 11788) | |
Enumeration Date | 2021-02-17 |
Last Update Date | 2025-08-15 |