| NPI | 1497966238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 20365) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ND 4550) |
| 1041C0700X Social Worker, Clinical (Licence: SD 3028) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2019-01-14 |