NPI | 1720395122 |
---|---|
Former Name | KRISTIN M RASMUSSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1302004) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR A1009116) |
Enumeration Date | 2010-09-07 |
Last Update Date | 2017-01-20 |