NPI | 1811032576 |
---|---|
Former Name | INGRID BRITT HENRICHSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: TX 60412) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NC 6585) |
Enumeration Date | 2007-02-20 |
Last Update Date | 2007-07-08 |