| NPI | 1376223362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 30502) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 12590-123) |
| 1041C0700X Social Worker, Clinical (Licence: ND 7015) | |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2025-11-16 |