| NPI | 1609674324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 25221) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MN 493451) |
| Enumeration Date | 2025-03-06 |
| Last Update Date | 2026-06-18 |