NPI | 1073038147 |
---|---|
Former Name | LAUREL BARTSCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: 13215) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A13215) |
101YM0800X Counselor, Mental Health (Licence: NC A13215) | |
101Y00000X Counselor (Licence: NC A13215) | |
Enumeration Date | 2017-08-09 |
Last Update Date | 2024-04-15 |