NPI | 1871242370 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MN 306255) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MN 30060) |
Enumeration Date | 2022-03-22 |
Last Update Date | 2022-04-12 |