NPI | 1134229990 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 09797) |
Additional Taxonomies | 104100000X Social Worker (Licence: MN 09797) |
Enumeration Date | 2006-09-22 |
Last Update Date | 2008-02-19 |