| NPI | 1295187763 |
|---|---|
| Former Name | MONIQUE SORENSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 12195) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 12195) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 21682) | |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2024-04-18 |