NPI | 1093050023 |
---|---|
Former Name | VANESSA BOHL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL ISW8645) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL ISW8645) |
Enumeration Date | 2012-12-03 |
Last Update Date | 2014-07-08 |