NPI | 1255704557 |
---|---|
Former Name | CHRISTINE PEARSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 1032) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 303486) |
Enumeration Date | 2015-11-09 |
Last Update Date | 2024-10-17 |