| NPI | 1558960211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MN 27554) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MN 305273) |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |