NPI | 1386901833 |
---|---|
Former Name | TRINA LEE ANDREASEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 13470) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2012-04-20 |
Last Update Date | 2019-10-23 |