| NPI | 1881125060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 20403) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801109154) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2023-06-15 |