NPI | 1114228699 |
---|---|
Former Name | DIANE KAY SEEGERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 2067) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MN 300163) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 300163) | |
Enumeration Date | 2010-11-15 |
Last Update Date | 2015-04-01 |