| NPI | 1922393685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 2386) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ND 20090029) |
| 1041C0700X Social Worker, Clinical (Licence: MN 24962) | |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2018-03-17 |