| NPI | 1134514987 |
|---|---|
| Former Name | MADELINE JEAN PROEHL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 11579) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A11579) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2023-12-18 |