NPI | 1437857430 |
---|---|
Former Name | KATRINA MARIE SCHIFERL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 305526) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MN 3631) |
Enumeration Date | 2023-02-20 |
Last Update Date | 2023-02-20 |