| NPI | 1689381550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MN 30525) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TX 69046) |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2023-05-31 |