| NPI | 1306408190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 35184) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 11384-123) |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2026-02-12 |