| NPI | 1770812174 |
|---|---|
| Former Name | HEATHER LYNN HANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MN CC02413) |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2020-06-03 |