| NPI | 1184855835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 5088) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 05088) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2024-05-10 |