| NPI | 1881945103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR 7156) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 19093) |
| 103K00000X Behavior Analyst (Licence: MN 19093) | |
| 1041C0700X Social Worker, Clinical (Licence: MN 19093) | |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2017-02-09 |