| NPI | 1285388017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 17551) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 9858) |
| Enumeration Date | 2022-02-10 |
| Last Update Date | 2022-03-22 |