NPI | 1396381927 |
---|---|
Former Name | EVA MICHELLE PSENCIK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR A1909133) |
Enumeration Date | 2019-11-19 |
Last Update Date | 2023-04-13 |