| NPI | 1255916979 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 26299) | 
| Enumeration Date | 2021-03-15 | 
| Last Update Date | 2025-05-08 |