| NPI | 1972764454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MN 29203) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2023-04-26 |