| NPI | 1922560788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 28923) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 131069-121) |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2023-05-04 |