NPI | 1174858617 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MN CC00151) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MN 300169) |
Enumeration Date | 2009-10-15 |
Last Update Date | 2023-07-30 |