| NPI | 1992293625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 32703) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: 600107010303610) |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2024-08-13 |