| NPI | 1447881214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 304728) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 4780) |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2025-02-04 |