| NPI | 1396045530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 33181) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 51828) |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2024-05-07 |