| NPI | 1235490855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MN 21580) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN 21580) |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2016-05-05 |