| NPI | 1174845119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 28099) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 066980 1) |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2020-04-06 |