| NPI | 1629723903 |
|---|---|
| Former Name | KALI LORENE SUTTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 3153) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 304628) |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2024-09-09 |