| NPI | 1467787705 |
|---|---|
| Former Name | ANNAMARIE LYNN ELMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20043079A) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KY 240421) |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2018-10-24 |