| NPI | 1588094809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN cc01365) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 303444) |
| 101YP2500X Counselor, Professional (Licence: MN 1365) | |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2023-06-10 |