NPI | 1467895755 |
---|---|
Other Name | KIMBERLY HAUGEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health (Licence: NE 9940) | |
Enumeration Date | 2013-04-17 |
Last Update Date | 2022-09-08 |