| NPI | 1922658087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 32559) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 095277) |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2024-10-23 |