| NPI | 1578893517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MN 17988) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 17988) |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2018-02-06 |