NPI | 1174973788 |
---|---|
Former Name | SARAH EHLICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IN 39003040A) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IN 39002835A) |
101YP2500X Counselor Professional (Licence: IL 180009877) | |
Enumeration Date | 2016-06-14 |
Last Update Date | 2023-01-25 |