| NPI | 1518672294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 31129) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 13309) |
| Enumeration Date | 2023-01-18 |
| Last Update Date | 2023-01-18 |