NPI | 1295915502 |
---|---|
Former Name | JANE ANNE HODGDON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 2008) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2007-11-05 |
Last Update Date | 2022-07-21 |