| NPI | 1750863882 |
|---|---|
| Former Name | MINDY NICOLE JANSSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: NE 6988) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NE 10561) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2018-09-05 |