| NPI | 1326118019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 24871) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 06379) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2024-03-25 |