| NPI | 1053481184 |
|---|---|
| Former Name | ANN ELIZABETH DORICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35001653A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2022-11-30 |