| NPI | 1316198823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 18471) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MN 18471) |
| 171M00000X Case Manager/Care Coordinator (Licence: ND 4137) | |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2017-03-09 |