| NPI | 1902558976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 21389) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 13254-121) |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2022-01-21 |