| NPI | 1841185055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MN 27867) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MN 307062) |
| 1041S0200X Social Worker School (Licence: MN 501024) | |
| Enumeration Date | 2025-06-09 |
| Last Update Date | 2025-06-09 |