NPI | 1013665041 |
---|---|
Former Name | NATALIE WOLLAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 8861902) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2022-03-17 |
Last Update Date | 2025-08-22 |