| NPI | 1972002244 |
|---|---|
| Former Name | RUTH ANN MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 01719) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 01719) |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2023-12-14 |