NPI | 1255610135 |
---|---|
Former Name | KRISTI RENEE LUENZMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN LP5106) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MN LP5106) |
Enumeration Date | 2011-08-10 |
Last Update Date | 2023-12-07 |