| NPI | 1891084554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MN 24031) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ND 4011) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2021-03-26 |