| NPI | 1568002046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 6562) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN 30170) |
| 104100000X Social Worker (Licence: ND 6562) | |
| 106S00000X Behavior Technician | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2024-12-17 |