| NPI | 1629709738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 12153-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 132936-121) |
| 104100000X Social Worker (Licence: WI 12780) | |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2025-06-30 |