| NPI | 1922128446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 17944) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 73072682) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2024-01-25 |