NPI | 1255997474 |
---|---|
Former Name | ANNE CORYDON WALDINGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 18300) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 8542) |
Enumeration Date | 2019-05-13 |
Last Update Date | 2025-03-13 |