NPI | 1659528644 |
---|---|
Former Name | LINDSAY EHLERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.008126) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IL BACB231098) |
221700000X Art Therapist (Licence: IL ATCB#11-004) | |
Enumeration Date | 2008-08-21 |
Last Update Date | 2014-11-24 |