| NPI | 1912572892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 29918) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ND 6134) |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2025-05-05 |