| NPI | 1518949932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MN LICSW 2329) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MN LP 2972) |
| Enumeration Date | 2005-11-20 |
| Last Update Date | 2025-09-11 |