NPI | 1215051644 |
---|---|
Former Name | CYNTHIA F PRITZL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 211-124) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 12584) |
101YM0800X Counselor, Mental Health (Licence: WI 216-123) | |
Enumeration Date | 2007-03-19 |
Last Update Date | 2021-06-24 |