NPI | 1275531097 |
---|---|
Former Name | JOY I HANSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 10964) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2005-07-14 |
Last Update Date | 2020-04-22 |