| NPI | 1306802228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ND 2431) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MN 14643) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2007-07-08 |