| NPI | 1285250399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 9849) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 9729-123) |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2025-09-28 |