| NPI | 1386952364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM C-09699) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MN 300784) |
| 1041C0700X Social Worker Clinical (Licence: MN 17648) | |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2021-05-10 |