| NPI | 1881279768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 23678) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 16075) |
| Enumeration Date | 2021-03-12 |
| Last Update Date | 2021-03-12 |