| NPI | 1841880564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 25787) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM 11561) |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2021-02-04 |