| NPI | 1497372718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 306738) |
| 101YM0800X Counselor, Mental Health (Licence: MN 26875) | |
| 101YM0800X Counselor, Mental Health (Licence: SD 6461) | |
| 1041C0700X Social Worker, Clinical (Licence: SD 6461) | |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2025-06-17 |