| NPI | 1669690780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 07566) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 22295) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2026-02-25 |