NPI | 1225712052 |
---|---|
Former Name | BRAE SCHMIDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 10305-125) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2023-06-12 |
Last Update Date | 2023-12-05 |