NPI | 1689069718 |
---|---|
Former Name | AMANDA ELFERING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 3603) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2015-04-06 |
Last Update Date | 2018-03-17 |