| NPI | 1992398960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 03895) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 305820) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2021-02-19 |
| Last Update Date | 2023-08-08 |