NPI | 1265601827 |
---|---|
Former Name | LEANN MAXINE RASMUSSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3704) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 8555) |
101YP2500X Counselor, Professional (Licence: NE 1843) | |
Enumeration Date | 2008-02-27 |
Last Update Date | 2010-04-08 |