NPI | 1609450428 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 11704) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 301020) |
1041C0700X Social Worker, Clinical (Licence: HI LCSW-3911) | |
Enumeration Date | 2021-05-07 |
Last Update Date | 2023-02-23 |