| NPI | 1558833137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 305693) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN 26974) |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2020-03-19 |