| NPI | 1356487227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 19740) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 173889) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2017-11-16 |