| NPI | 1881061455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 22826) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 55743) |
| Enumeration Date | 2015-08-30 |
| Last Update Date | 2025-10-27 |