| NPI | 1639847528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 33504) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI LCSW-5118) |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2025-01-15 |