| NPI | 1659092757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 14698) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: 14698) |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2022-09-07 |