| NPI | 1215338918 |
|---|---|
| Former Name | CARRIE LYN HANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NE 1459) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 1998) |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2015-10-29 |