NPI | 1841943347 |
---|---|
Former Name | KRISTINA LYNN KUEHN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 3132) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 305539) |
101YP2500X Counselor, Professional (Licence: WI 10863-125) | |
Enumeration Date | 2022-02-03 |
Last Update Date | 2024-04-29 |