| NPI | 1336663566 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 27406)  | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-07-30 | 
| Last Update Date | 2023-05-15 |