| NPI | 1154781433 |
|---|---|
| Former Name | MERODE WARD-LICHTERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 13402) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH 13698) |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2018-10-23 |