| NPI | 1578308458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MN 25302) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WI 11812-123) |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-07-01 |