| NPI | 1265637250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 4015) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 23801) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2023-07-31 |