| NPI | 1033876867 |
|---|---|
| Former Name | ANNE THERESE ROLLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 305620) |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2021-11-29 |