NPI | 1609657162 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN cc04281) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 305861) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2023-10-11 |
Last Update Date | 2024-04-17 |