| NPI | 1386170306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MN 17690) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MN 17690) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2021-07-16 |