| NPI | 1184228009 |
|---|---|
| Former Name | RENAE ANN KLEIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 301066) |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2020-11-23 |