| NPI | 1326485368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 18887) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ND 4781) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2017-06-15 |