| NPI | 1477157980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 25862) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ 22532) |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2026-04-08 |