| NPI | 1811083439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MN 11655) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW7155) |
| 1041C0700X Social Worker, Clinical (Licence: LA 11928) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2013-02-19 |