| NPI | 1932109808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 1158) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 216) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2007-07-09 |