| NPI | 1982778734 |
|---|---|
| Former Name | BECKY MAY DOEHR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 300158) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN 4130) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-07-08 |