| NPI | 1457166787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 11207) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 2725-123) |
| Enumeration Date | 2025-02-12 |
| Last Update Date | 2025-02-12 |