| NPI | 1548770456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 32334) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801094436) |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2025-04-17 |