| NPI | 1144209826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 27599) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2021-11-16 |