| NPI | 1306692751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WI 134101) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MN 31549) |
| Enumeration Date | 2024-04-26 |
| Last Update Date | 2024-04-30 |