| NPI | 1366051344 |
|---|---|
| Former Name | CARRIE SORESNON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 2512) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 304951) |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2023-10-26 |