| NPI | 1306116850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 15444) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 1041Co7ooX) |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2011-12-30 |