| NPI | 1790728210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 11815) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ND 5796) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2024-06-10 |