NPI | 1649364597 |
---|---|
Other Name | JAN L HEDLUND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: AZ LPC10397) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CO 2768) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2007-07-08 |