NPI | 1699197301 |
---|---|
Former Name | LAURA HASEMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 4708) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NE 2274) |
Enumeration Date | 2014-01-15 |
Last Update Date | 2022-01-19 |