NPI | 1518714435 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 24928) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 24928) |
104100000X Social Worker (Licence: MN 24928) | |
Enumeration Date | 2024-04-30 |
Last Update Date | 2024-04-30 |