| NPI | 1821052960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 16437) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI 4091) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2023-12-12 |