| NPI | 1093889099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 8051) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MN LP1615) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2016-09-28 |