| NPI | 1275908964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 9999) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MN 341471) |
| Enumeration Date | 2015-12-06 |
| Last Update Date | 2020-08-27 |