NPI | 1689936064 |
---|---|
Former Name | ELIZABETH WENNING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39003116A) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C 1000556-TRNE) |
Enumeration Date | 2012-06-12 |
Last Update Date | 2018-07-24 |