| NPI | 1982004073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MN 23712) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6801094335) |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2023-06-28 |