NPI | 1356448427 |
---|---|
Former Name | KAREN MARIE BERMEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 603) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LPC10194) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2019-02-27 |