| NPI | 1609083195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 07668) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 779) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2019-08-02 |