NPI | 1033461892 |
---|---|
Former Name | GRETCHEN RIEHM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 3320) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 304471) | |
Enumeration Date | 2012-10-03 |
Last Update Date | 2016-08-13 |