NPI | 1982077541 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: MN 303368) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 1051960) |
1041C0700X Social Worker, Clinical (Licence: MN 27157) | |
Enumeration Date | 2015-11-04 |
Last Update Date | 2023-11-09 |