| NPI | 1881112399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1823) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 305177) |
| 101YM0800X Counselor, Mental Health (Licence: MN 3568) | |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2023-01-03 |