| 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 |