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 |