| NPI | 1508459330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 26288) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-39683) |
| Enumeration Date | 2021-02-12 |
| Last Update Date | 2025-08-26 |