| NPI | 1275868028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 301679) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 574) |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2018-12-10 |