| NPI | 1801231832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MN 00044) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 00868) |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2013-09-16 |