| NPI | 1285025551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 21049) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L7012) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2023-05-25 |