| NPI | 1265214050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 25754) |
| Enumeration Date | 2023-10-17 |
| Last Update Date | 2025-07-21 |