| NPI | 1043237043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 3731) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 20122) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2012-08-30 |