| NPI | 1477876654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 21155) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 22928) |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2012-07-09 |