NPI | 1548777402 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 26450) |
Additional Taxonomies | 104100000X Social Worker (Licence: MN 26450) |
101YM0800X Counselor, Mental Health (Licence: MN 26450) | |
Enumeration Date | 2018-01-02 |
Last Update Date | 2025-01-28 |