| NPI | 1609290790 |
|---|---|
| Former Name | BETTINA LUPION |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 303508) |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2019-12-17 |