| NPI | 1902477003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 28065) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW22657) |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2024-06-11 |