| NPI | 1053814780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 20695) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1907) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 306272) | |
| 104100000X Social Worker (Licence: ND 4536) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2023-04-12 |