NPI | 1609531987 |
---|---|
Other Name | AUDREY GRAY OSTERMILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401224684) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6451021929) |
Enumeration Date | 2021-11-02 |
Last Update Date | 2024-11-13 |