NPI | 1528278157 |
---|---|
Former Name | SHEENA MARIE WESCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 4745) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3801) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2024-11-19 |