NPI | 1932612330 |
---|---|
Other Name | KALLE STINSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: NC A13276) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A13276) |
101YP2500X Counselor, Professional (Licence: NC A13276) | |
Enumeration Date | 2017-11-08 |
Last Update Date | 2017-11-08 |