| NPI | 1467121830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 33904) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AK 182732) |
| 1041C0700X Social Worker, Clinical (Licence: AK 214326) | |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2024-11-19 |