NPI | 1073047056 |
---|---|
Former Name | KRISTAL ROSE HAHN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 303641) |
Enumeration Date | 2017-04-17 |
Last Update Date | 2017-04-17 |