NPI | 1447271424 |
---|---|
Other Name | BERNICE ELEANOR KOMRAUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401007208) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 2-00693) |
Enumeration Date | 2006-07-22 |
Last Update Date | 2025-09-11 |