| NPI | 1679059380 |
|---|---|
| Former Name | CLARA LOUISE HOFELDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 180.012902) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.013737) |
| 101YM0800X Counselor, Mental Health (Licence: IL 178.013737) | |
| 101YP2500X Counselor, Professional (Licence: IL 178.013737) | |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2021-06-02 |