| NPI | 1548777402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 26450) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN 26450) |
| 101YM0800X Counselor, Mental Health (Licence: MN 26450) | |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2025-01-28 |