NPI | 1962633040 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 5835) |
Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MN 259010) |
Enumeration Date | 2009-08-06 |
Last Update Date | 2009-08-06 |