| NPI | 1447943485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 28929) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ND 6701) |
| Enumeration Date | 2023-05-26 |
| Last Update Date | 2024-03-13 |