| NPI | 1598919573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 26911) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI LCSW-3849) |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2019-07-18 |