NPI | 1699246033 |
---|---|
Former Name | EMILY E MARTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P2103168) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR A1908018) |
Enumeration Date | 2018-12-11 |
Last Update Date | 2021-04-07 |