| NPI | 1316695950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 29244) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 11884-123) |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2024-08-26 |