NPI | 1629520846 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 24531) |
Additional Taxonomies | 104100000X Social Worker (Licence: MN 24531) |
Enumeration Date | 2016-11-04 |
Last Update Date | 2022-01-26 |