| NPI | 1801148366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 20281) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.015717) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2014-09-06 |