| NPI | 1770198707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 305483) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN 28485) |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-15 |