| 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 |