| NPI | 1720071921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MN 11333) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 764) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2007-07-08 |