NPI | 1609121342 |
---|---|
Former Name | HANNAH KRUEGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: HI 375) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: 1756-13) |
Enumeration Date | 2012-07-18 |
Last Update Date | 2024-01-02 |