| NPI | 1588155816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 6345) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1943) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 305065) | |
| 1041C0700X Social Worker, Clinical (Licence: MN 30475) | |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2025-09-17 |