| NPI | 1992561625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 35469) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ND 6684) |
| 104100000X Social Worker (Licence: ND 6684) | |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2026-03-03 |