| NPI | 1902141526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 12998) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MN 467617) |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2012-12-07 |