| NPI | 1881060374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MN 25887) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 174400000X Specialist | |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2024-08-29 |