| NPI | 1295787125 |
|---|---|
| Other Name | BRENDA WANKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP3300) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN 6847) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2007-07-08 |