| NPI | 1770991317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 303231) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 3424) |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2022-07-21 |