| NPI | 1548718869 |
|---|---|
| Former Name | ELEANOR NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 26663) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.018524) |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2022-08-29 |