| NPI | 1770318073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 7116) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 28937) |
| 171M00000X Case Manager/Care Coordinator (Licence: ND 7116) | |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2026-08-03 |