| NPI | 1134412844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 1247) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 301554) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 4905) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 703192) | |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2011-05-27 |