NPI | 1356735849 |
---|---|
Former Name | MARIT ELIZABETH DERRER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 6843) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NC 6843) |
Enumeration Date | 2015-03-24 |
Last Update Date | 2021-05-26 |