| NPI | 1003085333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 22382) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 15493) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15493) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 302724) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15397-132) | |
| 1041C0700X Social Worker, Clinical (Licence: WI 8362-123) | |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2017-03-29 |