NPI | 1871882977 |
---|---|
Former Name | CHRISTEEN MARIE MYHRE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 1800087638) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.006838) |
Enumeration Date | 2011-03-30 |
Last Update Date | 2013-07-23 |