NPI | 1578979522 |
---|---|
Former Name | ANA SAGE HAMERSMA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180013201) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IL 32882) | |
Enumeration Date | 2014-07-09 |
Last Update Date | 2023-01-10 |