NPI | 1578348801 |
---|---|
Other Name | RITA JORGENSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TN 5987) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TN 5987) |
Enumeration Date | 2023-08-25 |
Last Update Date | 2024-04-22 |