| NPI | 1487716221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN mn - 00633) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: BCD 015832) |
| 1041C0700X Social Worker, Clinical (Licence: ICBMCPI - 1908) | |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2007-07-08 |