| NPI | 1528700010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 306350) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN 35729) |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2026-01-07 |