| NPI | 1770177586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 32582) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0011975) |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2024-07-12 |