| NPI | 1386901833 |
|---|---|
| Former Name | TRINA LEE ANDREASEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AK 153236) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional (Licence: NC 13470) | |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2024-11-15 |