NPI | 1104276195 |
---|---|
Former Name | ANNA GIRDAUSKAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 6904) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 3093-226) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2016-06-21 |
Last Update Date | 2018-09-18 |