NPI | 1386267110 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 03725) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 305785) |
101YP2500X Counselor, Professional (Licence: MN 2521) | |
Enumeration Date | 2020-05-27 |
Last Update Date | 2023-03-14 |