| NPI | 1588155816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: ND 6345) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 305065) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1943) | |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2023-06-08 |