| NPI | 1588007512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 08662) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 8662) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2022-03-08 |