| NPI | 1770995052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 11220) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ND 6073) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2022-02-18 |