| NPI | 1316694870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 32960) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MN 1-23-69783) |
| Enumeration Date | 2022-03-04 |
| Last Update Date | 2026-04-16 |