| NPI | 1578691606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 01769) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 0361) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2016-09-20 |