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 |