| NPI | 1477931806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 5079) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 305080) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1721) | |
| 1041C0700X Social Worker, Clinical (Licence: MN 49948) | |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2021-11-12 |