NPI | 1639638885 |
---|---|
Former Name | CHRISTINE SARAH VERMEULEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 180014185) |
Enumeration Date | 2019-03-18 |
Last Update Date | 2024-05-08 |