| NPI | 1447271424 |
|---|---|
| Other Name | BERNICE ELEANOR KOMRAUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 2-00693) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401007208) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2007-07-08 |