NPI | 1528501079 |
---|---|
Former Name | EMILY MARIA RAFFEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CCMH0224041) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN cc01318) |
101YP2500X Counselor, Professional | |
Enumeration Date | 2016-11-30 |
Last Update Date | 2024-04-25 |