| NPI | 1487879995 |
|---|---|
| Former Name | ELISA ANN MOHN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT 2182) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 8749) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2013-01-15 |