| NPI | 1235337999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MN 312442) |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2007-07-04 |
| Last Update Date | 2018-05-08 |