| NPI | 1982590196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 306869) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN 33139) |
| Enumeration Date | 2025-06-16 |
| Last Update Date | 2025-06-16 |