| NPI | 1245949320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MN 24794) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 24794) |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2023-03-30 |