| NPI | 1275849382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MN 22626) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SD 2363) |
| 1041C0700X Social Worker Clinical (Licence: IA 007644) | |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2017-07-26 |