| NPI | 1245836345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 31733) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 150104778) |
| Enumeration Date | 2020-12-05 |
| Last Update Date | 2026-02-04 |