| NPI | 1982868006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 27295) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC 50082228) |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2021-11-22 |