| NPI | 1306881867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 18769) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS C6278) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2014-05-05 |