NPI | 1285159145 |
---|---|
Former Name | ERIN LAVENTURE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 28789) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 302209) |
Enumeration Date | 2017-08-11 |
Last Update Date | 2024-04-04 |