| NPI | 1912204264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 18648) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: ND 5134) |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2025-05-20 |