| NPI | 1184487936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 20482) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MN 20482) |
| 1041S0200X Social Worker, School (Licence: CO CSW.09928484) | |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-02-05 |