NPI | 1902883283 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MN 15337) |
Additional Taxonomies | 104100000X Social Worker (Licence: MN 15337) |
Enumeration Date | 2005-12-28 |
Last Update Date | 2018-01-04 |