| NPI | 1306474036 |
|---|---|
| Former Name | NATASHA MARIE PRANGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 2377) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 304953) |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2020-03-30 |