| NPI | 1831717107 |
|---|---|
| Former Legal Business Name | KRISTA M LARSON MSW, LICSW |
| Entity Type | Organization |
| Authorized Contact | KRISTA M LARSON Owner/Clinical Social Worker 507-301-1982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-13 |