| NPI | 1609224104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 34189) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO .09930726) |
| 1041C0700X Social Worker, Clinical (Licence: IA 127971) | |
| 1041C0700X Social Worker, Clinical (Licence: WI 12074-123) | |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2026-03-26 |