| NPI | 1982247466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 28934) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 59236) |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2024-12-16 |