| NPI | 1932862547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 30687) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 70332) |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2024-12-06 |