| NPI | 1366459984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 17327) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IA 06423) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2025-06-10 |