| NPI | 1578815981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 33199) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW79748) |
| 1041C0700X Social Worker, Clinical (Licence: NC C015659) | |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2024-07-10 |