| 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 |