NPI | 1255703278 |
---|---|
Other Name | TERESA HASENZAHL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MO 2014001978) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 00504-L) |
106H00000X Marriage & Family Therapist (Licence: NV 0833) | |
Enumeration Date | 2015-10-29 |
Last Update Date | 2015-10-29 |