| NPI | 1801333125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 26096) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 304861) |
| 104100000X Social Worker (Licence: ND 5152) | |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2021-11-10 |