| NPI | 1669248225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 31301) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2022025932) |
| 1041C0700X Social Worker, Clinical (Licence: NY 089195) | |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2023-11-27 |