| NPI | 1942562517 |
|---|---|
| Former Name | TESSA LOMNES-KULZER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 303280) |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2014-07-10 |