| NPI | 1669670766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 1889) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 1914-123) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2011-11-14 |