| NPI | 1558052852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 6521) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 36291) |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2026-07-15 |