| NPI | 1932184504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MN 16072) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2018-01-29 |