NPI | 1093062945 |
---|---|
Former Name | DELPHINE MARIE HERMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CCMH0197101) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH11362) |
Enumeration Date | 2012-08-09 |
Last Update Date | 2023-11-27 |