| NPI | 1255856928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 1896) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 304182) |
| 101YM0800X Counselor, Mental Health (Licence: MN 01861) | |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2018-09-13 |