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 |