| NPI | 1114480340 |
|---|---|
| Other Name | NINFA A ANTONSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60935383) |
| Enumeration Date | 2019-04-14 |
| Last Update Date | 2019-06-11 |