| NPI | 1093221400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 27584) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH 1450942) |
| 1041C0700X Social Worker, Clinical (Licence: MN I.1800901) | |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2019-06-27 |