| NPI | 1669927273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 3415) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 304885) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2019-03-25 |