| NPI | 1265150247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 27222) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MN 509593) |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2022-08-16 |