| NPI | 1356881130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 27677) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1780) |
| 1041C0700X Social Worker, Clinical (Licence: ND 5393) | |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2023-10-30 |