| NPI | 1124654751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 24800) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MN 489298) |
| Enumeration Date | 2020-03-15 |
| Last Update Date | 2023-02-16 |