| NPI | 1649441304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MN 11669) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1571) |
| 104100000X Social Worker (Licence: ND 4633) | |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2023-09-12 |