NPI | 1700390317 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: MN 24578) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MN 24578) |
1041C0700X Social Worker, Clinical (Licence: MN 24578) | |
Enumeration Date | 2017-11-20 |
Last Update Date | 2021-08-05 |