NPI | 1205214293 |
---|---|
Former Name | JAMIE RINGELBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0013275) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401222372) |
Enumeration Date | 2015-05-11 |
Last Update Date | 2022-01-14 |