| NPI | 1992041032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MN 17114) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IA 008301) |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2021-03-16 |