| NPI | 1962873299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 25522) |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2023-11-13 |