| NPI | 1548416548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 10119) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MN 341393) |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2008-08-11 |