| NPI | 1851031397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 24305) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ND 4849) |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2022-03-31 |