NPI | 1205444965 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 20993) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 20993) |
Enumeration Date | 2020-07-20 |
Last Update Date | 2024-09-17 |