| NPI | 1528425154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MN 28172) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2012037553) |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2025-03-17 |