| NPI | 1548308919 |
|---|---|
| Former Name | MIRACLE RAYE HAASE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 537-9-15-05-254) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 01726) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2024-09-17 |