NPI | 1508000720 |
---|---|
Former Name | AMY ELIZABETH TOLAND EINSPRUCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 63054) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 63054) |
Enumeration Date | 2009-05-01 |
Last Update Date | 2024-06-11 |