NPI | 1316260755 |
---|---|
Former Name | LEE ANN MILLER CLAUSSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI L1681227) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MI L1681227) |
101YP2500X Counselor, Professional (Licence: MI L1681227) | |
101YS0200X Counselor, School (Licence: MI 140725) | |
Enumeration Date | 2010-03-11 |
Last Update Date | 2010-03-11 |