| NPI | 1417378068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 4996) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 22925) |
| Enumeration Date | 2013-12-30 |
| Last Update Date | 2014-07-29 |