| NPI | 1669727681 |
|---|---|
| Former Name | EMILY HAMSTRA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 1250) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE 981) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2023-04-06 |