NPI | 1063831329 |
---|---|
Other Name | SONJA ANN BJURSTROM-HACKETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 5386) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 6766) |
Enumeration Date | 2014-04-15 |
Last Update Date | 2014-04-15 |