NPI | 1659655785 |
---|---|
Former Name | CHRISTINA WOLF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-13901) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-13341) |
Enumeration Date | 2011-10-07 |
Last Update Date | 2014-02-24 |