| NPI | 1134666381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 1527) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 304569) |
| 101YM0800X Counselor, Mental Health | |
| 101YS0200X Counselor, School (Licence: MN 486257) | |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2024-10-02 |