| NPI | 1518181452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 302071) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 13912-132) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN none assigned) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2019-11-07 |