NPI | 1154895530 |
---|---|
Former Name | ELISABETH ANN REAFSNYDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 3721) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2019-01-18 |
Last Update Date | 2024-02-02 |