| NPI | 1326449836 |
|---|---|
| Former Name | NERISSA RAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068.0127631) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2021-07-19 |