| NPI | 1790322246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 18496) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928899) |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2023-02-15 |