| NPI | 1396419339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 306446) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2024-09-19 |