| NPI | 1356537831 |
|---|---|
| Former Name | BRIETTA MARLENE HAUKENESS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1471) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2007-11-09 |