NPI | 1457822009 |
---|---|
Former Name | MARGARET ANN ISTAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN cc01139) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 303557) |
Enumeration Date | 2018-12-07 |
Last Update Date | 2018-12-07 |