| NPI | 1740502293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 32014) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW008349) |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2024-05-03 |