| NPI | 1902079387 |
|---|---|
| Former Name | ANITA LOUISE STUART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN LPC00288) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN ADC300947) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |