| NPI | 1891536322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SD 6718) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 31072) |
| Enumeration Date | 2024-06-06 |
| Last Update Date | 2025-04-09 |