| NPI | 1013128917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 17982) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ND 3809) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2022-07-13 |