| NPI | 1831521806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 30885) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P008167) |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2023-11-07 |