| NPI | 1689817751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 19439) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 19439) |
| Enumeration Date | 2009-04-19 |
| Last Update Date | 2022-04-22 |