NPI | 1790081446 |
---|---|
Former Name | HEATHER MARIE GIESEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MN CC00230) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MN 261QM0801X) |
Enumeration Date | 2011-01-28 |
Last Update Date | 2015-06-23 |