| NPI | 1942851829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 25606) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AK 189343) |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2022-08-30 |