| NPI | 1336028372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MN 34859) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WI 12271-123) |
| Enumeration Date | 2025-09-02 |
| Last Update Date | 2025-09-02 |