| NPI | 1356510796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 24326) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 27404) |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW21247) | |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2021-10-20 |