NPI | 1306202882 |
---|---|
Other Name | ALISA WYNENS REHBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC002226) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA MFT000856) |
Enumeration Date | 2016-01-13 |
Last Update Date | 2019-05-31 |