| NPI | 1144598806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 20814) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MN 370745) |
| 104100000X Social Worker (Licence: MN 20814) | |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2025-12-12 |