| NPI | 1851572929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN LPCC) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 302631) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1437) | |
| 101YP2500X Counselor, Professional (Licence: MN 702) | |
| 106H00000X Marriage & Family Therapist (Licence: ND 2009-007) | |
| Enumeration Date | 2007-11-17 |
| Last Update Date | 2024-07-25 |