| NPI | 1346848199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MN 30934) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MT BBH-LCSW-LIC-44239) |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2022-07-14 |