| NPI | 1851096713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 4066) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 306592) |
| 101YM0800X Counselor, Mental Health (Licence: MN 4066) | |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2026-05-18 |