NPI | 1760854061 |
---|---|
Former Name | ELIZABETH A RYPSTAT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 18943) |
Additional Taxonomies | 104100000X Social Worker (Licence: MN 18943) |
Enumeration Date | 2015-10-26 |
Last Update Date | 2018-04-26 |