| NPI | 1962290783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 306833) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN 34476) |
| Enumeration Date | 2025-04-30 |
| Last Update Date | 2025-04-30 |