| NPI | 1093014508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 19466) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ND 4116) |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2014-07-29 |