| NPI | 1306247531 |
|---|---|
| Former Name | JULIE ANN STANGEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 303869) |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2014-09-08 |