| NPI | 1376421685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IA 118462) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 36021) |
| Enumeration Date | 2025-08-25 |
| Last Update Date | 2026-06-14 |