NPI | 1275255630 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MN CC04412) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MN 306332) |
Enumeration Date | 2022-09-13 |
Last Update Date | 2024-06-10 |