NPI | 1245422195 |
---|---|
Former Name | KERRIE R CHRISTENSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2036) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV CP0030) |
101YM0800X Counselor, Mental Health (Licence: NE 3521) | |
101YM0800X Counselor, Mental Health (Licence: IA 079551) | |
Enumeration Date | 2007-08-14 |
Last Update Date | 2019-08-29 |