| NPI | 1417573510 |
|---|---|
| Former Name | DEANNA M PERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 302236) |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2024-07-15 |