| NPI | 1184746133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 12849) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 993074) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2009-01-23 |