| NPI | 1740468354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 25955) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 103379) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2024-05-07 |