| NPI | 1891207254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 1647) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 304443) |
| 101YM0800X Counselor, Mental Health (Licence: MN 01647) | |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2022-05-24 |