| NPI | 1154987063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 300366) |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: MN 300366) |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2022-03-08 |