| NPI | 1770649394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 29916) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 51554) |
| 1041C0700X Social Worker, Clinical (Licence: MO 2001011607) | |
| 1041C0700X Social Worker, Clinical (Licence: CO 991156) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2024-07-26 |