| NPI | 1497823298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 15212) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 2707) |
| 1041C0700X Social Worker, Clinical (Licence: CA 66407) | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2015-06-18 |