| NPI | 1194293092 |
|---|---|
| Former Name | NATALIE JOSEPHINE BUELOW, MINTURN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 4119-226) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 18673-130) |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2021-07-24 |