| NPI | 1275602401 |
|---|---|
| Former Name | KAREN ESTELLE SCHWANKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 300942) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R1391750) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MN 019277001) | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-08 |