NPI | 1558954321 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: MN 27606) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 27606) |
Enumeration Date | 2021-02-12 |
Last Update Date | 2024-08-09 |