| NPI | 1487951851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 18470) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 302836) |
| 101YM0800X Counselor, Mental Health (Licence: MN 18470) | |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2022-08-01 |