NPI | 1376348516 |
---|---|
Former Name | ANNA MARIE BALSIMO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 29943) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 306415) |
Enumeration Date | 2025-02-13 |
Last Update Date | 2025-03-20 |