| NPI | 1093373136 |
|---|---|
| Former Name | AUTUMN VERSTEGAN EHLINGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WI 8147125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2021-03-23 |