| 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 |