| NPI | 1255508859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 4456) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 302260) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1725) | |
| 1041C0700X Social Worker, Clinical (Licence: MN 18337) | |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2025-05-15 |