| NPI | 1437468170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 14922) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 01468) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2016-06-24 |