NPI | 1306813290 |
---|---|
Former Name | KAREN LYNN HANSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0904004811) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC LC303504) |
Enumeration Date | 2006-03-01 |
Last Update Date | 2016-03-10 |