| NPI | 1518803915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 34094) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ 23690) |
| Enumeration Date | 2026-04-27 |
| Last Update Date | 2026-04-27 |