| NPI | 1205463668 |
|---|---|
| Former Name | ANDREA MARIE KASPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 2989) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 305342) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2021-09-28 |