NPI | 1386681237 |
---|---|
Former Name | MONDA DEE BIEHSLICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR 2054-C) |
Enumeration Date | 2006-06-01 |
Last Update Date | 2019-04-11 |