| NPI | 1124647615 |
|---|---|
| Former Name | PETER ALLEN SANNEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MD LC12394) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: VA 0701011435) |
| 101YP2500X Counselor Professional (Licence: DC PRC200001455) | |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2024-05-14 |