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 |