| NPI | 1598526964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 29475) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 21733) |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-01-22 |