| NPI | 1396436465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 4318) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 305941) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MN 90-0678865) | |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2024-03-01 |