| NPI | 1346576444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 19606) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN 19606) |
| 104100000X Social Worker (Licence: WI 127698-121) | |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2023-05-25 |