| NPI | 1497888903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 02179) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 0154) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2010-01-07 |