| NPI | 1881829984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 19661) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 005224) |
| 1041C0700X Social Worker, Clinical (Licence: MN AP09-576) | |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2020-03-10 |