| NPI | 1649826090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MN 27611) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 27611) |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2021-11-23 |