| NPI | 1801211099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 25812) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 52965) |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2022-09-28 |