| NPI | 1700640794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 34178) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ND 6688) |
| Enumeration Date | 2024-02-09 |
| Last Update Date | 2024-12-28 |