| NPI | 1780380725 |
|---|---|
| Other Name | KYSA THILGEN-ANGLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 302582) |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2023-02-01 |