| NPI | 1407473374 |
|---|---|
| Former Name | MARYLEE MARGARET STENSLAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 304164) |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2020-06-26 |