NPI | 1699474221 |
---|---|
Former Name | ELIZABETH ANNE KOVACS WUNDERLICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LPC-9361) |
Enumeration Date | 2023-03-02 |
Last Update Date | 2023-03-02 |