| NPI | 1114095429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 17412) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 004171) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-07-09 |