| NPI | 1811277189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 35289) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM C08665) |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2025-10-09 |