| NPI | 1447324074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 24589) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34003697A) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-12-07 |