NPI | 1942742044 |
---|---|
Former Name | TAUNYA MARIE HEDBOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C6765) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR R5821) |
Enumeration Date | 2016-11-07 |
Last Update Date | 2023-02-07 |