| NPI | 1689839359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 19723) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS 21667) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2016-03-04 |