| NPI | 1720456627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 31958) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L11026) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2025-04-30 |