| NPI | 1841800315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 22523) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SWI.LW.61505637) |
| Enumeration Date | 2020-08-08 |
| Last Update Date | 2026-05-07 |