| NPI | 1417327347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 24436) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: MN 365664) |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2015-10-05 |