| NPI | 1144298365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MN 01731) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 1731) |
| 106H00000X Marriage & Family Therapist (Licence: MN 584) | |
| 106H00000X Marriage & Family Therapist (Licence: MN 0584) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2010-08-25 |