NPI | 1558037390 |
---|---|
Former Name | MARY LUTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 774) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NE 774) |
Enumeration Date | 2021-08-20 |
Last Update Date | 2023-02-22 |