NPI | 1629577457 |
---|---|
Former Name | EMILY MARIE TREI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IA 091778) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0020106) |
Enumeration Date | 2018-02-07 |
Last Update Date | 2024-06-28 |