| NPI | 1457834699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 24613) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 101996) |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2026-02-05 |