| NPI | 1023131752 |
|---|---|
| Former Name | WILLIE J. LOVE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN LICSW #5348) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN LMFT # 0602) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2007-07-09 |