| NPI | 1801603428 |
|---|---|
| Former Name | MOLLY JILL NORMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN cc01864) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 303747) |
| Enumeration Date | 2024-12-17 |
| Last Update Date | 2025-04-02 |