| NPI | 1831224047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 8166) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ND 3159) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2010-04-01 |