| NPI | 1538238738 |
|---|---|
| Former Name | BARBARA LUNDSTROM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 8714) |
| Additional Taxonomies | 174400000X Specialist (Licence: MN Marriage&Family#693) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-08-14 |