| NPI | 1740948801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 30079) |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2026-02-19 |