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 |