| NPI | 1952913014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 28286) |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 12248479-3502) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.025574) | |
| 104100000X Social Worker (Licence: MN 79886) | |
| 104100000X Social Worker (Licence: MN 28286) | |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2026-06-14 |