NPI | 1225895923 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 306905) |
Additional Taxonomies | 104100000X Social Worker (Licence: MN 32941) |
Enumeration Date | 2024-02-29 |
Last Update Date | 2024-03-13 |