| NPI | 1356372502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 3918) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 1314 121) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2007-07-08 |