NPI | 1548326937 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 4937) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 293) |
Enumeration Date | 2006-12-29 |
Last Update Date | 2014-09-15 |