| NPI | 1811471899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MN 48888) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6801108439) |
| 1041C0700X Social Worker Clinical (Licence: MI 6801095705) | |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2021-07-08 |