| NPI | 1457468274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MN 13543) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 00809) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2007-09-25 |