| NPI | 1356834428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 11145) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 3857C-S) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2025-10-22 |