| NPI | 1780024331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 302950) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN 24668) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2015-09-01 |