NPI | 1902181472 |
---|---|
Former Name | PATRICIA ALLISON KLEMMENSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 001341) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1013) |
Enumeration Date | 2011-10-17 |
Last Update Date | 2023-12-05 |