| NPI | 1619418225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 23602) |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2022-09-12 |