| NPI | 1629060777 |
|---|---|
| Other Name | BETH JEANNINE CROSTON HANSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3342) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 38) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2011-06-09 |